Glenn P Kimball

NPI #1689857328 in Haverhill, Massachusetts

Provider Information

NPI Number: 1689857328
Entity Type: Organization
Organization Name: Glenn P Kimball
Primary Specialty: Ophthalmology
Enumeration Date: Dec 17, 2007
Last Updated: Dec 5, 2018

Practice Location

Address: 680 MAIN ST
City: Haverhill
State: Massachusetts
ZIP Code: 01830-2644
Phone: (978) 374-4258

Authorized Official

Name: GLENN P KIMBALL JR., M.D
Title: OWNER
Phone: (978) 374-4258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Ophthalmology	207W00000X	Primary

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